Healthcare Provider Details

I. General information

NPI: 1679515100
Provider Name (Legal Business Name): TRUMM DRUG INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2006
Last Update Date: 09/14/2022
Certification Date: 09/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

114 E SOO ST
PARKERS PRAIRIE MN
56361-4995
US

IV. Provider business mailing address

114 E SOO ST PO BOX 35
PARKERS PRAIRIE MN
56361-4995
US

V. Phone/Fax

Practice location:
  • Phone: 218-338-2661
  • Fax: 218-338-2662
Mailing address:
  • Phone: 218-338-2661
  • Fax: 218-338-2662

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number265494
License Number StateMN

VIII. Authorized Official

Name: AARON FINELY
Title or Position: PRESIDENT
Credential:
Phone: 320-763-3111